摘要
目的探讨非脱垂子宫阴式子宫次全切除术的临床应用。方法选择2009年12月～2010年6月非脱垂子宫阴式子宫次全切除术(transvagin alhysterectomy,TVSH)30例患者的临床资料进行回顾性分析,并随机选择同期行腹式子宫次全切除术(Subtotal abdominal hysterectomy,TASH)患者30例,对两组术中、术后一般情况及并发症发生率进行比较。结果 TVSH组患者手术成功率为100%,未出现术中并发症、术后并发症发生率为6.67%;TASH组患者手术成功率为96.67%,术中无中转开腹及严重并发症,术后并发症2例,发生率为6.67%;手术时间、术中出血量、术后肛门排气时间、患者术后下床活动时间比TASH组明显减少,两组差异有统计学意义(P<0.05)。结论非脱垂子宫阴式次全切除术损伤小,术后并发症发生率低,手术方法值得临床推广应用。
Objective Explore the non-prolapsed uterus vaginal hysterectomy clinical applications. Methods To select our hospital clinical data of 30 patients with non-prolapsed uterus vaginal hysterectomy, subtotal hysterectomy （transvaginalhysterectomy, TVSH） from December 2009 to June 2010 were analyzed retrospectively and randomly selected concomitant abdominal hysterectomysurgery in 30 patients （Subtotal abdominal hysterectomy, TASH）, observed in the two groups of patients, to compare postoperative general and incidence of complications. Results The TVSH patients with surgical success rate of 100%, and no intraoperative complications, postoperative complication rate was 6.67%; TASH group of patients with surgical success rate was 96.67%, laparotomy surgery and serious complications, postoperativecomplications in two cases, the rate was 6.67%; operative time, blood loss, postoperative anal exhaust time, patients with postoperative ambulation time TASH group significantly reduced, the difference between the two groups was statistically significant （P 〈0.05）. Conclusion Non-prolapsed uterus vaginal the subtotal resection damage, and a low incidence of postoperative complications, surgical methods worthy of clinical application.
出处
《当代医学》
2013年第3期101-103,共3页
Contemporary Medicine
关键词
非脱垂子宫
阴式子宫次全切除术
应用
Non-prolapsed uterus
Vaginal hysterectomy surgery
Application
